| Item type |
Departmental Bulletin Paper(1) |
| 公開日 |
2020-09-01 |
| タイトル |
|
|
タイトル |
第３病日に診断を確定し，救命し得た重症レジオネラ肺炎の１例 |
| 作成者(その他言語) |
山田, 重徳
城下, 智
村木, 崇
山田, 雪
岩谷, 勇吾
横沢, 秀一
古川, 賢一
石田, 文宏
田中, 榮司
|
| 公開者(その他言語) |
|
|
|
姓名 |
信州医学会 |
| 書誌情報 |
信州医学雑誌
巻 59,
号 1,
p. 27-31,
発行日 2011-02-10
|
| 言語 |
|
|
言語 |
jpn |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
Legionella pneumonia |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
Legionella pneumophila |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
serogroup 1 レジオネラ肺炎 |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
レジオネラ症 |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
血清群１ |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
departmental bulletin paper |
| アクセス権 |
|
|
アクセス権 |
metadata only access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_14cb |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
A 48-year-old man was admitted to our hospital after suffering from fever, dyspnea, and disturbance of gait for four days before admission. A chest X-ray taken in the emergency unit showed ground glass-like infiltrates in the left upper lung field and blood examinations demonstrated increases in serum CRP,CPK,and AST and a decrease in sodium.Bacterial pneumonia was diagnosed and the patient was started on intravenous administration of doripenem. On hospital day 2, a second chest X-ray revealed that the infiltration had worsened, causing exacerbation of his hypoxemia. We immediately shifted to a combination therapy of pazufloxacin,minomycin, and erythromycin since the Legionella species was suspected to be infecting bacterium. Legionella antigen present in urinalysis on day 3 confirmed this diagnosis. However, the patient’s respiratory condition had rapidly deteriorated, necessitating the use of a respirator. His condition gradually improved with the intensive treatment and he was discharged on hospital day 23. Prompt diagnosis and treatment is necessary for Legionella pneumonia since this disease is one of the main sources of communityacquired pneumonia causing severe symptoms despite of appropriate treatment. Thus, clinicians should bear Legionella pneumonia in mind when treating cases with suspected pneumonia who show the specific clinical findings of this disease,such as an increase in serum AST and a decrease in sodium |
| 日付 |
|
|
日付 |
2015-09-24 |
|
日付タイプ |
Created |
| 資源タイプ |
|
|
内容記述タイプ |
Other |
|
内容記述 |
Article |
| フォーマット |
|
|
内容記述タイプ |
Other |
|
内容記述 |
application/pdf |
| その他の資源識別子 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
信州医学雑誌 59(1): 27-31(2011) |
| 資源識別子URI |
|
|
識別子 |
http://hdl.handle.net/10091/11718 |
|
識別子タイプ |
HDL |
| ISSN |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0037-3826 |
| 処理レコードID(総合目録DB) |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN00120815 |
| 著者版フラグ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
https://soar-ir.repo.nii.ac.jp/?action=repository_action_common_download&item_id=4170&item_no=1&attribute_id=65&file_no=1
